Summary

7 facilities within 25 miles of Roanoke publish prices for MRI Lumbar Spine without Contrast. Cash prices range from $1,252 to $10,641 — a 8.5x difference for an identical procedure. The Virginia average is $2,537.

Choosing the lowest-priced facility over the highest saves $9,388. The lowest-priced facility (Carilion New River Valley Medical Center) has a 4-star CMS quality rating — lower price does not mean lower quality.

$1,252 lowest
$10,641 highest
Best Value

Carilion New River Valley Medical Center

Christiansburg, VA · Carilion Clinic · 0.1 mi

$1,252 Cash price
4/5 CMS rating
69.0% Patient satisfaction

Lowest price among hospitals rated 4 stars or above. Patient satisfaction: 69%. Cash price of $1,252 is below the statewide average of $2,537.

All facilities ranked by price

1
Carilion New River Valley Medical Center 4★ · 0.1 mi · Nonprofit
$1,252
2
Carilion Franklin Memorial Hospital 4★ · 19.0 mi · Nonprofit
$1,252
3
Carilion Giles Community Hospital 4★ · 0.1 mi · Nonprofit
$1,258
4
Carilion Rockbridge Community Hospital 3★ · 0.1 mi · Nonprofit
$1,258
5
Sentara Halifax Regional Hospital 3★ · 0.1 mi · Nonprofit
$2,130
6
Sovah Health Danville 2★ · 0.1 mi · For-profit
$3,318
7
Lewisgale Medical Center 2★ · 0.1 mi · For-profit
$10,641
Complete facility data
# Facility Cash Price Gross Charge Markup CMS Stars Patient Rating Ownership
1 Carilion New River Valley Medical Center Carilion Clinic Christiansburg, VA · 0.1 mi $1,252 $3,578 2.86x 4/5 69.0% Nonprofit
2 Carilion Franklin Memorial Hospital Carilion Clinic Rocky Mount, VA · 19.0 mi $1,252 $3,578 2.86x 4/5 Nonprofit
3 Carilion Giles Community Hospital Carilion Clinic Pearisburg, VA · 0.1 mi $1,258 $3,595 2.86x 4/5 83.0% Nonprofit
4 Carilion Rockbridge Community Hospital Carilion Clinic Lexington, VA · 0.1 mi $1,258 $3,595 2.86x 3/5 75.0% Nonprofit
5 Sentara Halifax Regional Hospital Sentara Health South Boston, VA · 0.1 mi $2,130 $4,260 2.0x 3/5 71.0% Nonprofit
6 Sovah Health Danville Danville, VA · 0.1 mi $3,318 $8,294 2.5x 2/5 59.0% For-profit
7 Lewisgale Medical Center HCA Virginia Salem, VA · 0.1 mi $10,641 $10,641 1.0x 2/5 57.0% For-profit

Insurance negotiated rates by facility

The rates below are what each insurer has contractually agreed to pay this hospital for MRI Lumbar Spine without Contrast. Your actual out-of-pocket cost depends on your deductible status and copay structure.

Carilion New River Valley Medical Center

Cash: $1,252
Insurance Plan Negotiated Rate vs Cash
Anthem Managed Medicaid $176 -$1,076
Sentara Health Plan Managed Medicaid $179 -$1,073
Humana Managed Medicaid $184 -$1,068
ABH of VA (formerly Coventry) Managed Medicaid $184 -$1,068
UnitedHealthcare Managed Medicaid $184 -$1,068
Aetna Medicare Advantage $209 -$1,043
Humana Tricare $214 -$1,038
Humana Dual Eligible $218 -$1,034
Anthem Medicare Advantage $227 -$1,025
Humana Medicare Advantage $227 -$1,025
UnitedHealthcare Medicare Advantage $230 -$1,023
Sentara Health Plan Medicare Advantage $234 -$1,018
Anthem Exchange $912 -$340
Anthem Commercial $1,014 -$238

14 additional plans not shown.

Carilion Franklin Memorial Hospital

Cash: $1,252
Insurance Plan Negotiated Rate vs Cash
Anthem Managed Medicaid $176 -$1,076
Sentara Health Plan Managed Medicaid $179 -$1,073
UnitedHealthcare Managed Medicaid $184 -$1,068
ABH of VA (formerly Coventry) Managed Medicaid $184 -$1,068
Humana Managed Medicaid $184 -$1,068
Aetna Medicare Advantage $209 -$1,043
Humana Tricare $214 -$1,038
Humana Dual Eligible $218 -$1,034
Humana Medicare Advantage $227 -$1,025
Anthem Medicare Advantage $227 -$1,025
UnitedHealthcare Medicare Advantage $230 -$1,023
Sentara Health Plan Medicare Advantage $234 -$1,018
Anthem Exchange $1,052 -$200
Anthem Commercial $1,169 -$83

14 additional plans not shown.

Carilion Giles Community Hospital

Cash: $1,258
Insurance Plan Negotiated Rate vs Cash
Anthem Managed Medicaid $176 -$1,082
Sentara Health Plan Managed Medicaid $179 -$1,079
Humana Managed Medicaid $184 -$1,074
ABH of VA (formerly Coventry) Managed Medicaid $184 -$1,074
UnitedHealthcare Managed Medicaid $184 -$1,074
Aetna Medicare Advantage $209 -$1,049
Humana Tricare $214 -$1,044
Humana Dual Eligible $218 -$1,040
Humana Medicare Advantage $227 -$1,031
Anthem Medicare Advantage $227 -$1,031
UnitedHealthcare Medicare Advantage $230 -$1,029
Sentara Health Plan Medicare Advantage $234 -$1,024
Anthem Exchange $1,107 -$151
Anthem Commercial $1,230 -$28

14 additional plans not shown.

Carilion Rockbridge Community Hospital

Cash: $1,258
Insurance Plan Negotiated Rate vs Cash
Anthem Managed Medicaid $176 -$1,082
Sentara Health Plan Managed Medicaid $179 -$1,079
Humana Managed Medicaid $184 -$1,074
UnitedHealthcare Managed Medicaid $184 -$1,074
ABH of VA (formerly Coventry) Managed Medicaid $184 -$1,074
Humana Tricare $214 -$1,044
Humana Dual Eligible $218 -$1,040
Humana Medicare Advantage $227 -$1,031
Anthem Medicare Advantage $227 -$1,031
UnitedHealthcare Medicare Advantage $230 -$1,029
Aetna Medicare Advantage $230 -$1,029
Sentara Health Plan Medicare Advantage $234 -$1,024
Anthem Exchange $1,002 -$256
Anthem Commercial $1,113 -$145

16 additional plans not shown.

Sentara Halifax Regional Hospital

Cash: $2,130
Insurance Plan Negotiated Rate vs Cash
Sentara Health Plan Medicare Managed Care Plan $239 -$1,891
Humana Medicare Managed Care Plan $242 -$1,888
Blue Cross Blue Shield Anthem Medicare Managed Care Plan $246 -$1,884
UnitedHealthcare Snp Medicare Managed Care Plan $246 -$1,884
UnitedHealthcare All Commercial Plans $558 -$1,572
Blue Cross Blue Shield Anthem Exchange $752 -$1,378
Blue Cross Blue Shield Anthem Hmo $809 -$1,321
Blue Cross Blue Shield Anthem Ppo $834 -$1,296

Lewisgale Medical Center

Cash: $10,641
Insurance Plan Negotiated Rate vs Cash
Anthem HIX $354 -$10,288
Anthem HMO $393 -$10,248
Anthem PPO $393 -$10,248
UnitedHealthcare AllPayerAppendix $518 -$10,123
Lifeworks MCR $2,022 -$8,619
Universal Healthcare Group MCR $2,341 -$8,300
Aetna SharedSavings $2,994 -$7,647
Virginia Health Network ULTRA $3,724 -$6,917
UnitedHealthcare OptionsPPO $4,044 -$6,597
UnitedHealthcare GlobalBenefitPlan $4,788 -$5,853
Aetna Broad $5,746 -$4,895
Greenvbrier Sporting Club COMM $6,385 -$4,256
Virginia Health Network COMM $7,555 -$3,086
Virginia Health Network WC $7,555 -$3,086
CorVel WorkersComp $7,662 -$2,979

11 additional plans not shown.

Before you call

The data in this report is from each hospital's publicly filed prices. Here's how to use it.

Confirm the price

Call the hospital's billing department and ask for a price estimate or Good Faith Estimate for MRI Lumbar Spine without Contrast (CPT 72148). Under federal law, they must provide this. Compare it to the published price in this report.

Ask about cash pay

If you haven't met your deductible, ask for the cash/self-pay rate. At many hospitals, the cash price is lower than the insurance-negotiated rate. You can see this in the insurance table above — some negotiated rates exceed the cash price.

Compare before you schedule

You are not required to use the facility your doctor referred you to. You can request a referral to any in-network facility. The same procedure, same quality — sometimes at a fraction of the price.

Ask about financial help

Most nonprofit hospitals in Virginia offer financial assistance to patients based on household income. This is separate from insurance — even insured patients can qualify. Ask billing for their Financial Assistance Policy.

Financial assistance by facility

Nonprofit hospitals are legally required to have financial assistance programs. Below is what we know about each facility's charitable care.

Facility Status Charity Care Provided How to Apply
Carilion New River Valley Medical Center Nonprofit Call billing, request Financial Assistance application
Carilion Franklin Memorial Hospital Nonprofit Call billing, request Financial Assistance application
Carilion Giles Community Hospital Nonprofit Call billing, request Financial Assistance application
Carilion Rockbridge Community Hospital Nonprofit Call billing, request Financial Assistance application
Sentara Halifax Regional Hospital Nonprofit Call billing, request Financial Assistance application
Sovah Health Danville For-profit N/A (for-profit)
Lewisgale Medical Center For-profit N/A (for-profit)

What to do next

  1. Identify your top 2-3 facilities based on price, quality rating, and distance. The data in this report shows that lower price does not mean lower quality — check the star ratings.
  2. Call billing before you schedule. Confirm the published price. Ask for a Good Faith Estimate. Ask whether there's a prompt-pay or cash-pay discount beyond the listed rate.
  3. Check your deductible status. If you haven't met your deductible, compare the cash rate to what you'd owe through insurance. In some cases, paying cash is cheaper than using your plan.
  4. Apply for financial assistance if your household income is under $60,000-$125,000 (thresholds vary). Most eligible patients never apply because they don't know the program exists.
  5. Get everything in writing. Before your procedure, get a written price estimate. After, review the bill line by line. Roughly 80% of hospital bills contain errors (Becker's Hospital Review).

Data sources

Hospital prices
Published machine-readable files, required under CMS Hospital Price Transparency Rule (45 CFR Part 180)
Quality ratings
CMS Hospital Compare, updated quarterly
Patient satisfaction
HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems)
Financial data
CMS Cost Reports (charity care, revenue) and IRS 990 filings (officer compensation)

This report is for informational purposes only. It is not medical advice. Every price shown is a price a hospital published — not an estimate. Actual out-of-pocket costs depend on your insurance plan, deductible status, and clinical circumstances. Consult your healthcare provider and insurer before making decisions.